A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program
BackgroundUnsedated transnasal endoscopy is becoming an increasingly popular option for the evaluation of upper gastrointestinal tract disorders in adults and children worldwide. This innovative technology has transformative potential as it provides for a more efficient, safe, and cost-effective met...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1267148/full |
| _version_ | 1827380872346599424 |
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| author | Joel A. Friedlander Kristina Leinwand Kristina Leinwand Vrinda Bhardwaj Vrinda Bhardwaj Nathalie Nguyen |
| author_facet | Joel A. Friedlander Kristina Leinwand Kristina Leinwand Vrinda Bhardwaj Vrinda Bhardwaj Nathalie Nguyen |
| author_sort | Joel A. Friedlander |
| collection | DOAJ |
| description | BackgroundUnsedated transnasal endoscopy is becoming an increasingly popular option for the evaluation of upper gastrointestinal tract disorders in adults and children worldwide. This innovative technology has transformative potential as it provides for a more efficient, safe, and cost-effective method for endoscopy and reduces the risks associated with anesthesia, which is particularly relevant in pediatrics as endoscopy is commonly done under general anesthesia or conscious sedation. The aim is to address knowledge gaps amongst pediatric gastroenterologists who may be considering the development of a TNE program, detailing how to implement sedation-free TNE into practice for pediatric patients and current and forthcoming technologies.MethodsWe conducted a comprehensive review of current literature and collection of data from experts and clinicians in the field on how sedation-free programs were started and being conducted. We aimed to collate the data to provide a guide to address knowledge gaps with a focus on setting up and starting a sedation-free endoscopy program.ResultsHere in, we provide a detailed guide for implementing a sedation-free endoscopy program in pediatrics including design and layout of a TNE unit, special staffing needs, equipment, current and forthcoming technologies, financial considerations and training considerations. We highlight special considerations that are relevant in pediatrics incorporating distraction or dissociation techniques such as Virtual Reality Systems, developmentally appropriate preparation for children, and topical analgesia.ConclusionSedation-free endoscopy is a rapidly growing option for pediatric patients. Development of an unsedated pediatric endoscopy program will improve patient care, decrease the need for anesthesia, provide a lower cost and safe alternative to traditional sedated endoscopy, and is a viable component to a pediatric gastroenterology practice. |
| first_indexed | 2024-03-08T13:45:51Z |
| format | Article |
| id | doaj.art-da50dad941224088be391c192887f4d4 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-08T13:45:51Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-da50dad941224088be391c192887f4d42024-01-16T09:27:21ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-01-011110.3389/fped.2023.12671481267148A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy programJoel A. Friedlander0Kristina Leinwand1Kristina Leinwand2Vrinda Bhardwaj3Vrinda Bhardwaj4Nathalie Nguyen5EvoEndo, Inc., Centennial, CO, United StatesPediatric Gastroenterology, Northwest Permanente/Kaiser Permanente Physicians & Surgeons, Portland, OR, United StatesDivision of Pediatric Gastroenterology, Oregon Health & Sciences University, Portland, OR, United StatesDivision of Gastroenterology, Hepatology and Nutrition, Children’s Hospital Los Angeles, Los Angeles, CA, United StatesUniversity of Southern California, Los Angeles, CA, United StatesGastrointestinal Eosinophilic Diseases Program, Section of Pediatric Gastroenterology, Hepatology and Nutrition, University of Colorado School of Medicine; Digestive Health Institute, Children’s Hospital Colorado, Aurora, CO, United StatesBackgroundUnsedated transnasal endoscopy is becoming an increasingly popular option for the evaluation of upper gastrointestinal tract disorders in adults and children worldwide. This innovative technology has transformative potential as it provides for a more efficient, safe, and cost-effective method for endoscopy and reduces the risks associated with anesthesia, which is particularly relevant in pediatrics as endoscopy is commonly done under general anesthesia or conscious sedation. The aim is to address knowledge gaps amongst pediatric gastroenterologists who may be considering the development of a TNE program, detailing how to implement sedation-free TNE into practice for pediatric patients and current and forthcoming technologies.MethodsWe conducted a comprehensive review of current literature and collection of data from experts and clinicians in the field on how sedation-free programs were started and being conducted. We aimed to collate the data to provide a guide to address knowledge gaps with a focus on setting up and starting a sedation-free endoscopy program.ResultsHere in, we provide a detailed guide for implementing a sedation-free endoscopy program in pediatrics including design and layout of a TNE unit, special staffing needs, equipment, current and forthcoming technologies, financial considerations and training considerations. We highlight special considerations that are relevant in pediatrics incorporating distraction or dissociation techniques such as Virtual Reality Systems, developmentally appropriate preparation for children, and topical analgesia.ConclusionSedation-free endoscopy is a rapidly growing option for pediatric patients. Development of an unsedated pediatric endoscopy program will improve patient care, decrease the need for anesthesia, provide a lower cost and safe alternative to traditional sedated endoscopy, and is a viable component to a pediatric gastroenterology practice.https://www.frontiersin.org/articles/10.3389/fped.2023.1267148/fulltransnasal endoscopysedation freepediatricspediatric gastroenterology and hepatologyendoscopy unit |
| spellingShingle | Joel A. Friedlander Kristina Leinwand Kristina Leinwand Vrinda Bhardwaj Vrinda Bhardwaj Nathalie Nguyen A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program Frontiers in Pediatrics transnasal endoscopy sedation free pediatrics pediatric gastroenterology and hepatology endoscopy unit |
| title | A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program |
| title_full | A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program |
| title_fullStr | A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program |
| title_full_unstemmed | A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program |
| title_short | A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program |
| title_sort | guide on transnasal endoscopy setting up a pediatric unsedated endoscopy program |
| topic | transnasal endoscopy sedation free pediatrics pediatric gastroenterology and hepatology endoscopy unit |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1267148/full |
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